nursing home in Littlefield, TX
Sunset Valley Rehabilitation and Healthcare Center
1241 W. Marshall Howard Blvd., Littlefield, TX 79339 · (806) 385-6600
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sunset Valley Rehabilitation and Healthcare Center at a glance
Sunset Valley Rehabilitation and Healthcare Center is a 80-bed for-profit nursing home in Littlefield, Texas (Lamb County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (February 26, 2026) found 10 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $15,944.
Nursing staff turnover is 58.6% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Paramount Healthcare Consultants
- Medicare-certified since
- June 25, 2003
- Resident/family council
- Resident
- County
- Lamb County
- CMS Certification Number
- 675978
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.08 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.30 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.80 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.90 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 58.6% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 90.3 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $15,944 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 113 | 107 | |
| Average residents per day | 43 | 76 | 86 | |
| Occupancy | 53.4% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 23.1% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 28.9% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6.9% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0.7% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.6% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.4% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 72.7% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 26.8% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 36 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 26, 2026 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected March 2, 2026 |
| February 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected March 4, 2026 |
| February 26, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected March 27, 2026 |
| February 26, 2026 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 2, 2026 |
| February 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected March 2, 2026 |
| February 26, 2026 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | D Potential harm, isolated | Corrected March 2, 2026 |
| February 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 2, 2026 |
| February 26, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected March 2, 2026 |
| February 26, 2026 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected March 2, 2026 |
| December 22, 2025 Complaint | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Tag F0740 | D Potential harm, isolated | Corrected January 21, 2026 |
| January 15, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 30, 2025 |
| November 22, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected December 20, 2024 |
| November 22, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected December 20, 2024 |
| November 22, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 10, 2024 |
| November 22, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected December 10, 2024 |
| November 22, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 10, 2024 |
| November 22, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 10, 2024 |
| November 22, 2024 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected December 20, 2024 |
| August 26, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected August 27, 2024 |
| August 26, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | J Immediate jeopardy, isolated | Corrected August 27, 2024 |
| June 5, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 5, 2024 Complaint | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | D Potential harm, isolated | Corrected June 8, 2024 |
| June 5, 2024 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 5, 2024 |
| June 5, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 5, 2024 |
| February 28, 2024 Complaint | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected March 29, 2024 |
| February 28, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 29, 2024 |
| November 1, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 10, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected November 10, 2023 |
| October 10, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected November 10, 2023 |
| October 10, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected November 10, 2023 |
| October 10, 2023 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected November 14, 2023 |
| October 10, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected November 10, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $15,944 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 26, 2024 | Fine | $15,944 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SMITH, DAWNE Individual | 5% or greater direct ownership interest | 100% | 03/01/2017 |
| LITTLEFIELD SMITH, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2008 |
| SHEPPEL LITTLEFIELD, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2008 |
| SMITH FAMILY 2001 TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2008 |
| THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2008 |
| GEORGE, CINDY Individual | adp of the snf | NOT APPLICABLE | 03/01/2017 |
| LITTLEFIELD SMITH, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| PARAMOUNT HEALTHCARE CONSULTANTS, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2017 |
| RIOJAS, DIANA Individual | adp of the snf | NOT APPLICABLE | 06/26/2023 |
| SHEPPEL LITTLEFIELD, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| SMITH FAMILY 2001 TRUST Organization | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| THE RUSSELL M. SHEPPEL 2010 SEPARATE PROPERTY TRUST Organization | adp of the snf | NOT APPLICABLE | 01/01/2008 |
| SHEPPEL, RUSSELL Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/13/2025 |
| SMITH, BRADLEY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 05/13/2025 |
| RIOJAS, DIANA Individual | operational/managerial control | NOT APPLICABLE | 06/26/2023 |
Other nursing homes near Sunset Valley Rehabilitation and Healthcare Center
- ★★★★★3Average
Levelland Nursing and Rehabilitation Center
210 West Avenue, Levelland, TX 79336 · 22 mi
For-profit · 87 beds · Part of Fannin County Hospital District
★★★★★3Average- ★★★★★1Much below average
The Plaza at Lubbock
4910 Emory, Lubbock, TX 79416 · 31.9 mi
For-profit · 132 beds · Part of Stonegate Senior Living
★★★★★3AverageWhisperwood Nursing & Rehabilitation Center
5502 4th Street, Lubbock, TX 79416 · 32.1 mi
Government · 114 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageCarillon INC
1717 A Norfolk Ave, Lubbock, TX 79416 · 32.2 mi
Non-profit · 100 beds · Part of Life Care Services
★★★★★3Average
Frequently asked questions
What is Sunset Valley Rehabilitation and Healthcare Center's rating?
Sunset Valley Rehabilitation and Healthcare Center has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Sunset Valley Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Sunset Valley Rehabilitation and Healthcare Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Sunset Valley Rehabilitation and Healthcare Center?
It is for profit - limited liability company and part of Paramount Healthcare Consultants. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sunset Valley Rehabilitation and Healthcare Center and how do I contact it?
Sunset Valley Rehabilitation and Healthcare Center is at 1241 W. Marshall Howard Blvd., Littlefield, TX 79339. Phone: (806) 385-6600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.